May 13, 2021
My physician and I are in a disagreement regarding a malignant lesion excision performed with an ATT. She performed a malignant lesion excision along with the ATT which is 7cm on the arm. She wants to code both the excision of the malignant lesion and ATT. I think we should only report CPT 14020 for the ATT on the arm.
The lesion excision is included with the ATT (adjacent tissue transfer). When adjacent tissue transfer or rearrangement is performed in conjunction with excision of a lesion, the lesion excision is not reported separately. You would report only the ATT (14020). Code selection is based on anatomic location and size.
*This response is based on the best information available as of 5/13/21.